Article Text

other Versions

Social Disparities in Periodontitis among United States Adults: The effect of allostatic load
  1. Luisa N. Borrell1,*,
  2. Natalie D. Crawford2
  1. 1 Lehman College - CUNY, United States;
  2. 2 Columbia University, United States
  1. Correspondence to: Luisa N. Borrell, Lehman College - CUNY, 250 Bedford Park Blvd West, Bronx, 10468, United States; luisa.borrell{at}


Background: Periodontitis has been shown to be associated with allostatic load, a measure of physiological instability across biological systems from repeated adaptation to stressors. Minority racial/ethnic and low socioeconomic groups tend to have higher prevalence of periodontitis and are more likely to be exposed to stress. We examined the association between periodontitis and allostatic load and whether this association differed by race/ ethnicity, education, income and age among U.S. adults.

Methods: Using data from the National Health and Nutrition Examination Survey 1999-2004, prevalence ratios were calculated using logistic regression to estimate the strength of the association between allostatic load and the prevalence of periodontitis before and after adjusting for selected characteristics.

Results: After adjustment for selected characteristics, including race/ethnicity, education, income and age, U.S. adults with a high allostatic load were 55% (95%CI: 1.05-2.29) more likely to have periodontitis than their counterparts with low allostatic load. This association varied by race/ ethnicity where Mexican Americans with a high allostatic load were almost five (PR:4.62; 95%CI: 2.52-8.50) times, more likely to have periodontitis than Mexican Americans with low allostatic load. Conclusion: These data suggest that stress among Mexican Americans detrimentally affect periodontitis. Further, this group may lack appropriate coping responses to process chronic stressors that other groups may have historically been conditioned to handle. More research is needed to understand allostatic load in Mexican Americans and its influence on periodontitis.

Statistics from


    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.